Write a 700- to 1,050-word reflective journal in which you answer the following questions:You are a supervising nurse in Seva Medical Center’s Ob/Gyn department. Earlier today, a minor unwed mother in the early stages of labor was admitted, accompanied by her parents.
Write a 700- to 1,050-word reflective journal in which you answer the following questions:You are a supervising nurse in Seva Medical Center’s Ob/Gyn department. Earlier today, a minor unwed mother in the early stages of labor was admitted, accompanied by her parents.
o What were the ethical issues presented in the simulation?
o What decision-making steps did you take to ethically address these issues?
o What ethical perspectives, or lenses, did you use to make your decisions in the simulation?
o How did these ethical perspectives, or lenses, influence your decisions?
o How might concepts from this simulation relate to your workplace?
Dilemma 1
You are a supervising nurse in Seva Medical Center’s Ob/Gyn department. Earlier today, a minor unwed mother in the early stages of labor was admitted, accompanied by her parents. As your night shift begins, you see a few emails about the situation….
From Subject
Brenda Willis Patient to watch
From: Brenda Willis
To: MORGAN
Patient to watch
Just a quick note as your shift starts:
Near the beginning of my shift we admitted a 16-year-old mother, Rachel Banks. She’s in her tenth hour of labor now. Her parents have been with her, and they have chosen to limit the amount of medication and other medical assistance we’ve administered for personal reasons. Given the length of her labor, however, her situation could worsen. Keep a close eye on her. I’m not sure her parents understand how dangerous her situation could get.
Brenda Willis, RN
Shift Supervisor
Seva Medical Center
Harold Mills Staffing Adjustment
From: Harold Mills
To: MORGAN
Staffing Adjustment
Greetings:
Due to recent financial shortfalls, we’ve had to cut back on staff in your department. This readjustment of personnel will reduce the number of on-call physicians available during your shift. We have confidence that our exemplary nursing staff, under your capable leadership, can adjust to this restructuring with a minimum of difficulty.
Harold Mills
VP of Human Resources
Seva Medical Center
Stan Kirk Visitor
From: Stan Kirk
To: MORGAN
Visitor
Hey:
We just had a visit from a Joseph Banks, brother of a sixteen-year-old patient, Rachel Banks. He was really upset. He said Rachel’s parents were “punishing” her for getting pregnant before she was married and withholding painkillers and treatment. According to Joseph, the whole family had a big argument and the father said Rachel was being “judged” and “if God wants the child to survive, it will be Him, not the hospital, who protects her.”
I told him the staff here would do everything they could to keep Rachel and her child safe, but I also reminded him that Rachel’s a minor, and legally that means the parents make the call. The last thing we need is a big lawsuit.
In the end, I convinced him not to go into Ob/Gyn and make a scene, but I thought I should tell you about the incident just in case.

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